5S Audit Form - Office

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Audit area (take picture)

• Add media

  Media

Sort Activity Descriptions

• Enter exception rating related to non-required papers, binders, files, reports, reference manuals, posters, etc. that is present at the workstation or work area.

  Select no exceptions 1 exception 2 exceptions 3 to 4 exceptions 5 or more exceptions

  • no exceptions
  • 1 exception
  • 2 exceptions
  • 3 to 4 exceptions
  • 5 or more exceptions

• Enter exception rating related to non-required equipment and furniture that is present in the work area. This refers to broken, idle, or obsolete furniture, equipment, assessoires, etc.

  Select no exceptions 1 exception 2 exceptions 3 to 4 exceptions 5 or more exceptions

  • no exceptions
  • 1 exception
  • 2 exceptions
  • 3 to 4 exceptions
  • 5 or more exceptions

• Enter exception rating related to electronic files, folders and databases, etc. that are not methodically sorted and arranged.

  Select no exceptions 1 exception 2 exceptions 3 to 4 exceptions 5 or more exceptions

  • no exceptions
  • 1 exception
  • 2 exceptions
  • 3 to 4 exceptions
  • 5 or more exceptions

• Enter exception rating related to safety hazards present in the work area. Walkways should be clear of obstructions as cables, boxes, equipment, stack of paper, etc.

  Select no exceptions 1 exception 2 exceptions 3 to 4 exceptions 5 or more exceptions

  • no exceptions
  • 1 exception
  • 2 exceptions
  • 3 to 4 exceptions
  • 5 or more exceptions

• Is there an active red tag system in place forthe area? (i.e. have any items moved out of the red tag area since the last audit?) <br>Compliant = Continuous activity, items are tagged and removed upon identification; <br>Moderate = Moderate activity; <br>None = No activity.<br><br>

  compliant

  moderate

  nothing and/or poor performance

• First Aid supplies in office or common area are stored in labeled location and are kept in clean and in usable condition.<br>Compliant = Continuous activity, items are tagged and removed upon identification; <br>Moderate = Moderate activity; <br>None = No activity.<br><br>

  Yes

  No

  N/A

Set in Order Activity Descriptions

• Enter exception rating related to locations for files, reference materials, assessoires (i.e. tape, stapler), etc. that are not in a designated area.

  Select no exceptions 1 exception 2 exceptions 3 to 4 exceptions 5 or more exceptions

  • no exceptions
  • 1 exception
  • 2 exceptions
  • 3 to 4 exceptions
  • 5 or more exceptions

• Enter exception rating raleted to electronic files and directories not having a naming convention. individuals should be able to locate electronic files and email messages within 30 seconds.

  Select no exceptions 1 exception 2 exceptions 3 to 4 exceptions 5 or more exceptions

  • no exceptions
  • 1 exception
  • 2 exceptions
  • 3 to 4 exceptions
  • 5 or more exceptions

• Enter exception rating related to the organization and labeling of items inside cabinets, drawers, etc.

  Select no exceptions 1 exception 2 exceptions 3 to 4 exceptions 5 or more exceptions

  • no exceptions
  • 1 exception
  • 2 exceptions
  • 3 to 4 exceptions
  • 5 or more exceptions

• Enter exception rating raleted to the organization and location of equipment (computers, printers, phone) in relation to operator.

  Select no exceptions 1 exception 2 exceptions 3 to 4 exceptions 5 or more exceptions

  • no exceptions
  • 1 exception
  • 2 exceptions
  • 3 to 4 exceptions
  • 5 or more exceptions

• Work stations are ergonomically friendly. Manuals and supplies are stored appropriate heights to reduce stretching and bending.

  Yes

  No

  N/A

Shine Activity Description

• Enter exception rating related to filing. No backlog is present. Email folders are streamlined and contain only historical information that is required.

  Select no exceptions 1 exception 2 exceptions 3 to 4 exceptions 5 or more exceptions

  • no exceptions
  • 1 exception
  • 2 exceptions
  • 3 to 4 exceptions
  • 5 or more exceptions

• Enter exception rating related to folders and directories being "cleaned out". There should be no unneeded version of files, unidentified files, junk mail, etc.

  Select no exceptions 1 exception 2 exceptions 3 to 4 exceptions 5 or more exceptions

  • no exceptions
  • 1 exception
  • 2 exceptions
  • 3 to 4 exceptions
  • 5 or more exceptions

• Enter exception rating related to working conditions of equipment and accessoiries. Are they clean and in working order? When possible, stored in a manner to keep them clean anf free from risk of damage.

  Select no exceptions 1 exception 2 exceptions 3 to 4 exceptions 5 or more exceptions

  • no exceptions
  • 1 exception
  • 2 exceptions
  • 3 to 4 exceptions
  • 5 or more exceptions

• Are the floors, walls, work surfaces, machines, workbenches, dies, and other equipment clean and presentable.

  Yes

  No

  N/A

• Does the work environment satisfy the requirements of the work being performed. Lights are adequate for the area and are working.

  Yes

  No

  N/A

Standardize Activity Descriptions

• All standard work and related documents are clearly labeled and available, either physical posted or electronically.

  Yes

  No

  N/A

• Have checklist and/or standards been developed for keeping files and directories and folders organized.

  Yes

  No

  N/A

• Are all team members participating in the 5S audit.<br>Compliance = everyone rotates through participation of the audit;<br>Moderate = a select group of individual perform the audits;<br>None = only one or two people do all the audits

  compliant

  moderate

  nothing and/or poor performance

• Are wastes (boxes, packaging, trash) consistently and often cleaned and removed from the workplace.

  Yes

  No

  N/A

• Have exceptions from previous audits been addressed? Have all Action Items been documented, completed or the completion date updated?<br>Compliance = all have been documented, addressed and updated;<br>Moderate = all but one have been addressed and updated;<br>None = more than one item has not been addressed and updated.

  compliant

  moderate

  nothing and/or poor performance

• Are visual systems currently in place?

  compliant

  moderate

  nothing and/or poor performance

• Has at least one improvement idea been identified, implemented, and documented since the last audit in this area?

  Yes

  No

  N/A

• Did the team take the initiative to make improvements to the workplace that were not identified during the last 5S audit, Waste Reduction Effort or Kaizen.

  Yes

  No

  N/A

• Are the results of the previous audit for this area posted and clearly visible to the entire team?<br>Compliane = audit posted and 'Before & After' pictures posted;<br>Moderate = audit but no 'Before & After' pictures;<br>None = neither.

  compliant

  moderate

  nothing and/or poor performance

Audit close

• Add signature

  Sign